Average Medicaid Circumcision Payments
Typical Medicaid Circumcision reimbursement across 782 cities
Avg. Medicaid Paid
$216.67
Price Range
$0.00 – $2,239
Total Claims
460.9K
Cities
782
Typical Payment Range
Typical Medicaid Circumcision payments fall between $67.14 and $142.45 per claim (median: $90.07). The top 10% of payments exceed $222.06.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Circumcision is the surgical removal of the foreskin covering the tip of the penis. Most commonly performed on newborns.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Lansing, MI | $55.96 | $50.89 – $57.03 | 3,658 | 6 |
| Indianapolis, IN | $108.30 | $56.99 – $179.68 | 3,686 | 23 |
| San Antonio, TX | $100.66 | $40.48 – $591.97 | 3,724 | 38 |
| Gainesville, FL | $370.90 | $35.19 – $1,190 | 3,813 | 7 |
| Ypsilanti, MI | $54.10 | $48.32 – $56.22 | 3,837 | 2 |
| Ann Arbor, MI | $167.78 | $54.86 – $868.91 | 3,877 | 5 |
| Saint Louis, MO | $218.44 | $72.75 – $1,431 | 3,880 | 33 |
| Lexington, KY | $340.93 | $47.05 – $1,057 | 4,107 | 10 |
| Lafayette, LA | $121.52 | $100.39 – $128.95 | 4,283 | 7 |
| Royal Oak, MI | $96.78 | $59.19 – $312.24 | 4,355 | 2 |
| Phoenix, AZ | $1,950 | $0.00 – $2,424 | 4,395 | 10 |
| Columbia, SC | $126.61 | $0.00 – $170.61 | 4,474 | 13 |
| Orlando, FL | $273.81 | $43.72 – $1,287 | 4,511 | 29 |
| Atlanta, GA | $541.76 | $43.79 – $1,087 | 4,598 | 10 |
| Cleveland, OH | $50.79 | $29.87 – $1,418 | 4,760 | 40 |
| Birmingham, AL | $156.18 | $86.00 – $305.57 | 5,065 | 13 |
| Southfield, MI | $68.12 | $57.66 – $71.70 | 5,077 | 2 |
| Nashville, TN | $162.86 | $53.73 – $896.48 | 5,109 | 35 |
| Shreveport, LA | $209.32 | $110.07 – $215.86 | 5,208 | 12 |
| Louisville, KY | $242.10 | $49.18 – $537.45 | 5,278 | 23 |
| Kalamazoo, MI | $57.81 | $55.23 – $955.40 | 6,172 | 4 |
| Memphis, TN | $178.51 | $76.55 – $950.51 | 6,236 | 29 |
| Columbus, OH | $114.80 | $28.81 – $934.30 | 6,548 | 31 |
| Houston, TX | $140.30 | $17.93 – $339.89 | 6,680 | 53 |
| New Orleans, LA | $139.34 | $33.35 – $240.07 | 6,712 | 16 |
| Sunrise, FL | $56.59 | $56.36 – $70.94 | 7,677 | 2 |
| Tampa, FL | $266.78 | $83.19 – $1,086 | 8,751 | 15 |
| Grand Rapids, MI | $76.01 | $54.51 – $655.07 | 8,970 | 8 |
| Las Vegas, NV | $112.56 | $50.14 – $941.88 | 10,606 | 15 |
| Charlotte, NC | $223.30 | $44.44 – $598.55 | 11,030 | 13 |
| Fort Worth, TX | $87.99 | $55.10 – $141.58 | 13,684 | 28 |
| Detroit, MI | $132.62 | $39.16 – $703.00 | 15,713 | 10 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 54150 | Circumcision clamp newborn | $100.38 | 360,897 | 2,028 |
| 54161 | Circumcision surgical >28 days | $591.70 | 125,102 | 389 |
| 54160 | Circumcision surgical newborn | $135.76 | 5,116 | 56 |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.